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Working with children with obsessive compulsive disorder
1Child Psychiatry Inpatient Unit, North Shore-Long Island Jewish Health System, Schneider Children's Hospital, 269-01 76th Avenue, New Hyde Park, NY 11040, USA. Syretts@aol.com
Insights
Children with Obsessive-Compulsive Disorder (OCD) require tailored nursing care. A collaborative, individualized approach ensures consistent and effective treatment on psychiatric units.
Area of Science:
- Child and Adolescent Psychiatry
- Nursing Care Models
- Behavioral Health
Background:
- Pediatric Obsessive-Compulsive Disorder (OCD) presents unique management challenges in inpatient psychiatric settings.
- Existing behavioral programs may be ineffective for children with OCD due to symptom variability.
Observation:
- Children with OCD often struggle to adhere to standard behavioral management plans.
- Individual patient needs and responses to treatment vary significantly, even within the same diagnosis.
- A one-size-fits-all approach to behavior management is insufficient for this population.
Findings:
- Successful management necessitates viewing each child as an individual, beyond their OCD diagnosis.
- A specialized, collaboratively developed care plan is crucial for effective treatment.
- Nursing staff input is vital for creating and implementing individualized care strategies.
Implications:
- Individualized, team-developed plans enhance nursing staff's ability to manage children with OCD.
- This approach promotes continuity of care and improves patient outcomes.
- It highlights the need for flexible, patient-centered care models in child psychiatry.
Abstract:
1. Children with OCD are a special challenge for nursing staff. 2. Children with OCD often are unable to comply with preexisting behavior management programs at child psychiatric units. 3. Each child who enters an inpatient unit must be viewed as an individual, separate from his or her diagnosis, and what works for one patient with a particular diagnosis may not work for another patient with the same diagnosis. 4. A special plan devised with input from the entire nursing team is the best way to ensure that continuity of care is carried out among all staff on the unit.